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Utilization Management Coord - NICU

HCSC - Richardson, TX

This role will be remote within TX only and must be within 100 miles of Richardson, TX. Position will be focused on NICU BASIC FUNCTION: This position is responsible performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liais...

Project Analyst (Corporate Real Estate Finance Team)

HCSC - Chicago, IL

Job Purpose The Project Analyst is part of our Corporate Real Estate (CRE) Finance Team. This position will support departmental and enterprise wide projects. Responsibilities also include invoice processing, purchase order creation, contract/SOW management, renewals and annual budget support. The role will prepare and analyze monthly reports...

Utilization Management Coordinator - Registered Nurse (RN)

HCSC - Richardson, TX

*** Work schedule for this position *** Tuesday - Saturday / hours 8:30 am to 5:30 pm or 9:00 am to 6:00 pm BASIC FUNCTION: This position is responsible performing initial, concurrent review activities; discharge care coordination for...

Project Coordinator

HCSC - Richardson, TX

BASIC FUNCTION: This position is responsible for providing technical and operational support to departments, divisions or enterprise areas. Perform tasks include developing and managing projects; develop and facilitate training; writing system functionality; testing new development; and maintaining project plans, issue logs, and status reports. Also lead...

Coding Investigator Auditor - MT

HCSC - Helena, MT

Job Purpose: This position is responsible for performing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed; conducting research; preparing documentation of findings and consulting with Medical Direc...

Sr Business Consultant

HCSC - United States of America

Job Purpose: This position is responsible for providing business analysis and leadership to ensure alignment and integration across functional areas in support of divisional strategies and to ensure consistency and efficiency requiring leadership of major, complex, and strategic cross-divisional and enterprise-wide projects from inception to completion; ove...

Test Engineer - Data Analytics

HCSC - Richardson, TX

As the health care industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable health care for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the power of this p...

Sr Systems Analyst

HCSC - Richardson, TX

Job Purpose: This position is responsible for designing enhancements and new business applications and/or information systems solutions through integration of technical and business requirements; serving as technical designer to identify best solution and resulting technical specifications within limits of code environment; linking Business Analyst needs an...

Sr Analytics & Reporting Analyst - Medicare Stars

HCSC - Richardson, TX

BASIC FUNCTION: This position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and working on cross-functional teams to address the divisions issues; producing datasets and reports for analysis using system...

Sr Claim Technician

HCSC - Quincy, IL

Job Purpose:Under supervision, this position is responsible for directing, organizing and controlling technical workflow and support in the department.Required Job Qualifications: * *High School diploma or GED. * *1 year of claims/membership experience. * *Knowledge of Blue Chip or Blue Star. * *Analytical Skills. * *Clear and concise verbal and wr...

Holistic Health Specialist - Registered Nurse (RN)

HCSC - Richardson, TX

------------------------------------------------------------ At HCSC, building a talent engine for the future is a key priority because we recognize that as our business evolves to reflect the changing world, we must adapt our workforce to meet this challenge. Additionally, with "excellence" as one of our core values, we are focu...

Developer - RPA/Intelligent Automation

HCSC - Chicago, IL

As the healthcare industry continues to rapidly transform, our IT team conceives, develops and delivers impactful technology solutions to support access to quality, affordable healthcare for our members. We are driven by our collective company purpose: To do everything in our power to stand with our members in sickness and in health®. Our IT team unleashes the power...

Utilization Management Coordinator - Registered Nurse (RN)

HCSC - Richardson, TX

BASIC FUNCTION: This position is responsible performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and Medical and Network Management Divisions. This position reviews service requests, collects clinical and n...

Primary Nurse Care Administrator Specialty / CDE (Certified Diabetes Educator)

HCSC - Richardson, TX

Job Purpose: This position's primary focus is the management of members with Specialty (Oncology / Diabetes ) diagnoses. This position will be responsible for performing all functions of Case Management (CM) and is a primary source of contact for members, health care personnel and all other entities involved in managing Specialty care. Th...

Sr Systems Analyst

HCSC - Richardson, TX

Job Purpose : This position is responsible for designing enhancements and new business applications and/or information systems solutions through integration of technical and business requirements; serving as technical designer to identify best solutions and resulting technical specifications within limits of code environment; linking Business Analyst needs a...